Active NPI
Thomas Eugene Crosslin III, M.D.
- Surgery Physician
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD20101
- Practice address
- 4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235 - Phone
- (207) 921-5737
- Fax
- (207) 921-5333
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Rural Health Clinic/Center
- Calais, ME
- NPI 1134200702
-
- Family Medicine Physician
- Augusta, ME
- NPI 1063716710
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1174858278
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Medicare Defined Swing Bed Hospital Unit
- Wolfeboro, NH
- NPI 1518094663
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio State University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calais Community HospitalHuggins HospitalMainegeneral Medical Center
Practice addresses (Care Compare)
24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-7521
240 So Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000
Hospital & facility affiliations
- Calais Community Hospital
- Huggins Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140904002675 | ME | Practitioner - General Surgery | 5890913891 | Reassigns benefits to 5 organizations |
| I20260604000613 | NH | Practitioner - General Surgery | 5890913891 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240684 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Penobscot Bay Physicians & Associates | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
Interoperability endpoints
- thomas.crosslin.1@8356.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 240684 | MA | |
| Surgery Physician | 208600000X | MD20101 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Mailing address
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone (207) 921-5737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2015.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1376779934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GLEN COVE DR",
"address_2": "SUITE 103",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564235",
"telephone_number": "207-921-5737",
"fax_number": "207-921-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GLEN COVE DR",
"address_2": "SUITE 103",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564235",
"telephone_number": "207-921-5737",
"fax_number": "207-921-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLIN",
"first_name": "THOMAS",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "240684",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD20101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.